Individual
MS. EXZANDRIA SHANTA HORNSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 KENDRA DR, MIDWEST CITY, OK 73110-7750
(405) 618-1289
Mailing address
217 KENDRA DR, MIDWEST CITY, OK 73110-7750
(405) 618-1289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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